Share This Article:

Multilevel Cervicothoracic and Lumbar Pott’s Disease: About Three New and Unusual Cases in the Rheumatology Department of the Teaching Hospital of Cocody in Abidjan (Côte d’Ivoire)

Abstract Full-Text HTML XML Download Download as PDF (Size:326KB) PP. 23-27
DOI: 10.4236/ojra.2015.52005    3,709 Downloads   4,145 Views  

ABSTRACT

Pott’s disease usually affects two contiguous vertebrae or two spinal levels. The involvement of the three cervicothoracic and lumbar levels is rarely described. Only three cases have been described in the literature to our knowledge. The authors report three new cases of tuberculous spondylodiscitis of cervicothoracic and lumbar site. Our three cases were characterized by symptoms similar to the other topographical forms of Pott’s disease. A predisposing factor is often identified like the infection with human immunodeficiency virus. The definitive diagnosis was made in two cases by identifying acid and alcohol-fast bacilli for one case and by histology for the other case. For the third case, there was a diagnostic presumption reinforced by the satisfactory outcome on tuberculosis chemotherapy for a period of 12 months. The multilevel nature of diseases does not influence the effectiveness of treatment of this form of spinal tuberculosis.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Diomandé, M. , Kouakou, E. , Mégné, T. , Gbané-Koné, M. , Coulibaly, A. , Eti, E. and Kouakou, M. (2015) Multilevel Cervicothoracic and Lumbar Pott’s Disease: About Three New and Unusual Cases in the Rheumatology Department of the Teaching Hospital of Cocody in Abidjan (Côte d’Ivoire). Open Journal of Rheumatology and Autoimmune Diseases, 5, 23-27. doi: 10.4236/ojra.2015.52005.

References

[1] Evanchick, C.C., Davis, D.E. and Harrington, T.M. (1986) Tuberculosis of Peripheral Joints: An Often Missed Diagnosis. The Journal of Rheumatology, 13, 187-189.
[2] Monach, P.A., Daily, J.P., Rodriguez-Herrera, G. and Solomon, D.H. (2003) Tuberculous Osteomyelitis Presenting as Shoulder Pain. The Journal of Rheumatology, 30, 851-856.
[3] Kulali, A., Cobanoglu, S. and O’zylmaz, F. (1994) Spinal Tuberculosis with Circumferential Involvement of Two Noncontiguous Isolated Vertebral Levels: Case Report. Neurosurgery, 35, 1154-1158.
http://dx.doi.org/10.1227/00006123-199412000-00022
[4] Lee, T.C., Lu, K., Yang, L.C., Huang, H.Y. and Liang, C.L. (1999) Transpedicular Instrumentation as an Adjunct in the Treatment of Thoracolumbar and Lumbar Spine Tuberculosis with Early Stage Bone Destruction. Journal of Neurosurgery, 2, 163-169.
http://dx.doi.org/10.3171/spi.1999.91.2.0163
[5] Turgut, M. (2001) Multifocal Extensive Spinal Tuberculosis (Pott’s Disease) Involving Cervical, Thoracic and Lumbar Vertebrae. British Journal of Neurosurg, 15, 142-146.
http://dx.doi.org/10.1080/02688690120036856
[6] Emel, E., Güzey, F.K., Güzey, D., Bas, N.S., Sel, B. and Alatas, I. (2006) Non Contiguous Multifocal Spinal Tuberculosis Involving Cervical, Thoracic, Lumbar and Sacral Segment: A Case Report. European Spine Journal, 15, 1019-1024.
http://dx.doi.org/10.1007/s00586-005-0989-0
[7] Eljebbouri, B., Baallal, H., Naama ,O., Gazzaz, M. and Boucetta, M. (2012) Spondylodiscite Tuberculeuse Multifocale. Revue Marocaine de Rhumatologie, 20, 42-44.
[8] Pertuiset, E. (2004) Tuberculose osseuse et articulaire des membres. Encyclopedie Medico-Chirurgicale Rhumatologie- Orthopédie, 1, 463-486.
http://dx.doi.org/10.1016/j.emcrho.2004.08.003
[9] Eti, E., Daboiko, J.C., Brou, K.F., Ouali, B., Koffi, K.D. and Kouakou, N.M. (2010) Vertebral Tuberculosis: Our Experience from a Study of 147 Cases in the Rheumatology Department of the University Hospital of Cocody, Abidjan, Cote d’Ivoire. Medecine d’Afrique Noire, 57, 287-292.

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.